High HCG Levels

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I notice when I looked at the test results that I had an "abnormal" reading for HCG levels taken at 9w1d of approx. 315,000. Everything else is normal. I had an ultrasound that same day that showed one intrauterine pregnancy, with a normal heartbeat (167 bpm), measuring normal for how far along I was. I have had no bleeding or other visible/noticeable signs of trouble. Some manageable morning sickness.

When I raised concern about the HCG level, the nurse practitioner I was seeing (who evidently had missed the result when reviewing the chart) just said, "we don't do that kind of test that early here, and I can't imagine why they would have done it there. She had no other input. After I asked a few times whether it woudl be a good idea to test again now to see if it were normal now, she consulted their perinatologist, out of my presence, and reported back that he didn't think it was "that high" and that retesting would just confuse things. So, they scheduled me for the AFP in 2 weeks (when I'll be 16w4d) and said we'll schedule a Level I ultrasound for the normal time.

I am deeply concerned about this test result and the NP's reaction to it. It doesn't appear that it's a molar pregnancy, as there's a thriving fetus, but I know it could be a partial molar pregnancy or an indicator of Down's or some other major defect. I am debating insisting on a repeat test, because living with this fear, with no way to get any peace about it, for 2 weeks is extremely stressful. I don't know enough about HCG to be able to feel comfortable that 315,000 where the max. normal should be 289,000 is not "that high," and I don't see any reason to delay finding out if there are serious problems with the baby.

Is there any way to get some perspective on this and the HCG levels? Should I insist on a consultation with a doctor and/or additional test now, rather than later?

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